The sternocleidomastoid, or more simply sternomastoid, muscle arises by two heads from the front of the manubrium sterni and the upper surface of the medial third of the clavicle (see figs. 6-2, 19-2, and 50-8). It ascends obliquely in the neck (figs.
Titration and maintenance dose: The dose can be doubled at interval of two to four weeks to progressively achieve target blood pressure; the maximum permitted dose of Ramipril is 10mg daily. Usually the dose is administered once daily. Starting dose: The recommended initial dose is 1.25mg of Ramipril once daily.
Ramipril (INN, BAN, USAN) is an angiotensin-converting enzyme (ACE) inhibitor, used to treat high blood pressure (hypertension) and congestive heart failure. By inhibiting an enzyme, ACE inhibitors relax the muscles around small arteries (arterioles). The arterioles expand and allow blood to flow through more easily.he AIRE trial showed a 27% reduction in mortality for patients receiving ramipril for chronic heart failure following a myocardial infarction. Ramipril was found to have similar results as telmisartan, an angiotensin II receptor blocker.